Food and Nutrition Service
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Food Distribution

Forms

This page provides non-fillable PDF versions of Food and Nutrition forms used in the administration of the Food Distribution Programs.

Form No.

Title OMB No.
SF-269 Financial Status Report (long form)
SF-269a Financial Status Report (short form)
FNS-7 Destination Data for Delivery of Donated Foods 0584-0293
FNS-57 Report of Shipment Received, Over, Short and/or Damaged 0584-0293
FNS-52  Food Requisition 0584-0293
FNS-53 Multi-Food Requisition 0584-0293
FNS-74 Federal-State Agreement for Child Nutrition and Food Distribution Programs 0584-0067
FNS-101 Participation in Food Programs - By Race 0584-0025
FNS-152 Monthly Distribution of Donated Foods to Family Units 0584-0293
FNS-153 Monthly Report of the Commodity Supplemental Food Program and Quarterly Administrative Financial Status Report 0584-0293
FNS-155 Inventory Management Register 0584-0293
FNS-292 Report of Food Stamp Benefit Issuance and Commodity Distribution for Disaster Relief

0584-0037

FNS-663 Commodity Acceptability Progress Report

0584-0037

FNS-667 Report of The Emergency Food Assistance Program (TEFAP) Administrative Costs   0584-0293
FSA-21 Public Voucher - Commodity Programs. 

(Note: This is a Fillable Version of the form, but you will need a full version of Adobe Acrobat installed on your PC to be able to save a filled-in copy of this PDF form). 
FSA Form

Last Modified: 11/09/2008